Peak to Peak Periodontics, INC

NPI #1780054874 in Longmont, Colorado

Provider Information

NPI Number: 1780054874
Entity Type: Organization
Organization Name: Peak to Peak Periodontics, INC
Primary Specialty: Dentist - Periodontics
Enumeration Date: Oct 1, 2015
Last Updated: Oct 1, 2015

Practice Location

Address: 1505 MOUNTAIN VIEW AVE
City: Longmont
State: Colorado
ZIP Code: 80501
Phone: (303) 772-8550

Authorized Official

Name: SANDRA M. SINGISER
Title: OFFICER/SECRETARY
Phone: (303) 772-8550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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